Occiput Posterior Position during Labor
Conditions
Interventions
Intervention group:Participants in the intervention group were positioned in lateral recumbency with the maternal abdomen facing the opposite side of the fetal occiput. This position was maintained fo
Control group:The control group received routine care and were allowed to adopt any comfortable position, except for the specific positioning protocol used in the intervention group.
Sponsors
Xiamen Maternity and Child Health Care Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Singleton, cephalic presentation, term pregnancy (37 to 41+6 weeks of gestation); 2. Nulliparous; 3. Active labor with cervical dilation of 3–5 cm, and diagnosis of occiput posterior position confirmed by both vaginal examination and ultrasound; 4. Category I fetal heart rate tracing; 5. Written informed consent obtained.
Exclusion criteria
Exclusion criteria: 1. Multiple pregnancy; 2. Estimated fetal weight >= 4000 g by prenatal ultrasound; 3. Abnormalities of the bony pelvis; 4. Prenatal diagnosis of polyhydramnios; 5. Prenatal diagnosis of oligohydramnios; 6. Severe maternal complications (e.g., chronic hypertension, heart disease, thrombocytopenia); 7. Inability to perform maternal positioning (e.g., lower limb musculoskeletal disorders); 8. Pregnancy complicated by psychiatric or psychological disorders; 9. Refusal to participate in the clinical study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Vaginal delivery rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Instrumental vaginal delivery rate;Cesarean section rate;24-hour postpartum blood loss;Perineal laceration degree;Neonatal Apgar score;NICU admission rate;Neonatal birth injury rate;Duration of the first stage of labor;Duration of the second stage of labor;Rotation rate from OP to OA;Rate of oxytocin augmentation during active labor; | — |
Countries
China
Contacts
Public ContactYang Meilin
Xiamen Maternity and Child Health Care Hospital
Outcome results
None listed